The usefulness of MR defecography in the evaluation of pelvic floor dysfunction: our experience using 3T MRI

The usefulness of MR defecography in the evaluation of pelvic floor dysfunction: our experience... Key words: MR defecography—Anorectal Purpose: To assess the usefulness of MR defecography in junction—Anterior rectocele—Cystocele—Uterine evaluating pelvic floor dysfunction, and to correlate descent several pelvic organ abnormalities with each other and with patients’ symptoms and characteristics. Methods: MR defecographic examinations performed in Pelvic floor dysfunction, including organ prolapse, is a 3T MRI machine of 95 patients (70 females, 25 males; commonfemaleproblem,althoughitalsooccurs inmen.It mean age 48) were retrospectively reviewed. Pelvic organ presents clinically with different symptoms, including abnormalities from all three compartments were re- chronic constipation and obstructed defecation. The latter is corded, including the anorectal junction descent, anterior defined as evacuatory dysfunction manifested by sensation rectocele, and cystocele. These were graded according to of incomplete evacuation, excessive straining, inability to the known HMO system in relation to the pubococcygeal initiate rectal emptying, and painful defecation. It is esti- line. The correlation between these different abnormal- mated that 50% of parous women suffer from some sort of ities and their relation to patient symptoms and charac- prolapse, with lifetime risk of undergoing an operation for teristics were evaluated. prolapse or incontinence by age 80 of about 11% [1, 2]. The Results: Anorectal junction descent and anterior recto- female pelvic floor Abdominal Radiology Springer Journals

The usefulness of MR defecography in the evaluation of pelvic floor dysfunction: our experience using 3T MRI

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Springer US
Copyright © 2017 by Springer Science+Business Media New York
Medicine & Public Health; Imaging / Radiology; Gastroenterology; Hepatology
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